Provider Demographics
NPI:1902861636
Name:PAPP, DEBRA L (CRNP)
Entity Type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:L
Last Name:PAPP
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 ALTAMONT BLVD
Mailing Address - Street 2:
Mailing Address - City:FRACKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17931-2412
Mailing Address - Country:US
Mailing Address - Phone:570-874-2033
Mailing Address - Fax:570-874-2804
Practice Address - Street 1:602 ALTAMONT BLVD
Practice Address - Street 2:
Practice Address - City:FRACKVILLE
Practice Address - State:PA
Practice Address - Zip Code:17931-2412
Practice Address - Country:US
Practice Address - Phone:570-874-2033
Practice Address - Fax:570-874-2804
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003768B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS75534Medicare UPIN